This bill amends the Independent Health Care Appeals Program in New Jersey to promote equity in the health insurance appeal process by eliminating the application processing fee for appeals against health insurance carriers. Previously, covered persons were required to pay a $25 fee, which could be reduced or waived in cases of financial hardship. The bill removes this fee requirement entirely, making it easier for individuals and health care providers to contest decisions made by insurance carriers regarding the denial, reduction, or termination of benefits.

Additionally, the bill allows covered persons to authorize health care providers to appeal on their behalf by signing a consent form prior to receiving hospital services. This consent remains valid throughout all stages of the appeals process, ensuring that individuals can effectively advocate for their rights without the burden of financial barriers. The changes aim to enhance access to necessary medical services and support individuals in navigating the appeals process more effectively.

Statutes affected:
Introduced: 26:2S-11